Provider Demographics
NPI:1265920524
Name:WILKERSON, BENJAMIN KERWIN (PA-C)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:KERWIN
Last Name:WILKERSON
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2085 ASH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3717
Mailing Address - Country:US
Mailing Address - Phone:303-301-4487
Mailing Address - Fax:
Practice Address - Street 1:660 GOLDEN RIDGE RD STE 250
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401
Practice Address - Country:US
Practice Address - Phone:303-233-1223
Practice Address - Fax:303-233-8755
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2018-05-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant